ANJALI D CHENNUPATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057638

License Status

EXPIRED

Business

Title

First Name

ANJALI

Middle

Last Name

CHENNUPATI

Business Name

ANJALI D CHENNUPATI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/07/2013